FORM 1023-EZ for THE MOSES WHITE FOUNDATION INC

Field Data
EIN 82-5046486
Case Number EO-2018109-000222
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE MOSES WHITE FOUNDATION INC
Organization’s Mailing Address 301 W PLATT STREET - SUITE 156
City TAMPA
State GA
ZIP 33606
Accounting period End 12
Primary contact name ANDREA R WHITE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDREA RACQUEL WHITE
DIRECTOR, VICE PRESIDENT
2548 OAKWOOD TRACE
SMYRNA GA 30080

Officer/Director/Trustee Two

ANDRE RUBEN WHITE
DIRECTOR
6009 SOUTH DESHON CT
LITHONIA GA 30058

Officer/Director/Trustee Three

ROBYN GORDON
DIRECTOR
2909 EAST CHELSEA STREET
TAMPA FL 33610

Officer/Director/Trustee Four

ANDRE M WHITE
DIRECTOR
5122 HUNTERS LUCK
STONE MOUNTAIN GA 30088

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/27/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T23 - Private Operating Foundations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ANDREA RACQUEL WHITE
Signature Title DIRECTOR, VICE PRESIDENT
Signature Date 4/13/18

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